认知障碍与老年期孤独感的轨迹：来自健康与退休研究的证据。
Cognitive Impairment and the Trajectory of Loneliness in Older Adulthood: Evidence from the Health and Retirement Study.
机构信息
Department of Behavioral Sciences and Social Medicine, 12236Florida State University College of Medicine, Tallahassee, FL, USA.
Department of Geriatrics, 12236Florida State University College of Medicine, Tallahassee, FL, USA.
出版信息
J Aging Health. 2022 Jan;34(1):3-13. doi: 10.1177/08982643211019500. Epub 2021 May 22.
To examine whether the trajectory of facets of loneliness-emotional and social-varied by cognitive impairment status in older adulthood. Data came from the Health and Retirement Study 2008-2018 waves ( = 15,352). Cognitive impairment was assessed using standard cutoffs for cognitive impairment no dementia (CIND) and dementia. The 11-item UCLA loneliness scale was used to measure emotional and social loneliness. Using multilevel modeling, we found that CIND and dementia status were associated with higher overall, emotional, and social loneliness, controlling for physical health, social contact, and depressive symptoms. The trajectory of loneliness did not vary by cognitive status. There were modest variations by sociodemographic factors. Persons with CIND and dementia experience heightened emotional and social loneliness, but cognitive impairment does not contribute to the worsening of loneliness. Older adults' social integration may be maintained early in cognitive impairment.
为了考察老年人孤独感的各个方面（情感和社交）是否会因认知障碍状况而发生变化。数据来自健康与退休研究 2008-2018 年的调查（n=15352）。认知障碍使用认知障碍无痴呆（CIND）和痴呆的标准标准进行评估。使用 11 项 UCLA 孤独量表来衡量情感和社交孤独。使用多层次模型，我们发现，在控制了身体健康、社会联系和抑郁症状后，CIND 和痴呆状态与更高的总体、情感和社交孤独感相关。孤独感的轨迹不因认知状态而异。社会人口统计学因素有适度的差异。患有 CIND 和痴呆的人会经历更高的情感和社交孤独，但认知障碍不会导致孤独感恶化。老年人的社会融合可能在认知障碍的早期得到维持。
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